Lead implantation for peripheral nerve stimulation (PNS)

Slides:

Advertisements

Similar presentations

Median sensory tracing

Advertisements

Lumbar spondylosis with degeneration of the disc and facet joint, leading to narrowing of the spinal canal and intervertebral foramen (spinal canal stenosis)

Adhesive capsulitis of the shoulder

Summary of staging criteria for cancers of the oral cavity, oropharynx, hypopharynx, and larynx. Carcinoma in situ is stage 0, and presence of distant.

Endoscopic lumbar discectomy showing surgical results

Brief pain inventory. (Reproduced with permission from the University of Texas MD Anderson Cancer Center, Department of Symptom Research, Houston, TX.

(A) Lateral view of the vertebral column, showing the levels at which the various nerve roots exit; nerves exit above their numbered vertebral body in.

Epidural lysis of adhesions

Sagittal T2-weighted MRI of lumbar spine showing multilevel disk bulges, ligamentum flavum hypertrophy, and retrolisthesis at L2-L3. Source: Neurosurgery,

Wong-Baker FACES pain scale (Wong-Baker FACES Foundation (2015)

Radiofrequency (RF) neurolysis of the sacroiliac joint (SIJ), using a single RF needle overlapping technique. Note contrast in the SIJ confirming probe.

(A and B) Anteroposterior (AP) and lateral radiographs of a 60-year-old man with Klippel-Feil demonstrating the congenitally fused cervical vertebrae that.

The cycle of injury and reinjury resulting from rotator cuff impingement. Source: Chapter 3. Sports Medicine, Current Diagnosis & Treatment in Orthopedics,

Forearm support for sustained work at the computer.

Diagnostic algorithm for normocytic anemia.

Staging of endometriosis

Gender- and age-specific estimates of migraine prevalence (North America) based on 18 population studies that used International Headache Society (IHS)

Weakness of the serratus anterior muscle can cause destabilization of the scapula and will therefore affect all proximal upper limb muscles due to their.

Vertebroplasty. Lateral view of cement injection through a large-gauge Jamshidi needle into the osteoporotic compression fracture of the L5 vertebral body.

Imaging studies in a patient with a distractive flexion injury of the cervical spine. (A) This lateral radiographic view demonstrates anterior subluxation.

Survival rates after thyroidectomy for papillary, mixed papillary-follicular, follicular, medullary, and undifferentiated thyroid cancer. Source: Thyroid.

Internal hemorrhoids. (Used, with permission, from John Cello, MD.)

(A) Lateral view of the vertebral column, showing the levels at which the various nerve roots exit; nerves exit above their numbered vertebral body in.

Left partial third nerve palsy with ptosis (A), reduced adduction (B), elevation (C), and depression (D) but normal abduction (E) of the left eye. Source:

Scaphoid fracture. A. Scaphoid fracture nonunion. B

Transverse view comparisons of a painful left medial collateral ligament (MCL) and the right asymptomatic ligament. The left ligament is thickened with.

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

Hill’s proposed force–velocity curve

(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)

CT myelogram demonstrates severe spinal stenosis at L3-L4 along with bilateral facet arthropathy (black arrows). Source: Chapter 4. Disorders, Diseases,

Small bowel Crohn disease.

(A) Lateral view of the vertebral column, showing the levels at which the various nerve roots exit; nerves exit above their numbered vertebral body in.

Fish vertebra. (A) Lateral view of lumbar spine shows endplate compression (arrows) due to osteoporosis. (B) Fish drawing (Used with permission from Arash.

Temporal patterns of headache

(a) Ankylosing spondylitis and psoriasis: main target areas on vertebral column and girdle joints (b) Crohn disease and ulcerative colitis: main target.

An adolescent with a peripherally inserted central venous catheter (PICC line) in the right upper extremity. Source: Pediatric Acute-Care Hospital, Meeting.

A standard epidural order form.

The pain management continuum starts with independent exercise, progresses to over-the-counter medications, physical or occupational therapy, cognitive-behavioral.

Lead implantation for peripheral nerve stimulation (PNS)

Diagnosis and surgical treatment of glomus tumor

Temporal patterns of headache

Staging system for gastric carcinoma

Anteroposterior and lateral radiographs of a 43-year-old man status post anterior lumbar interbody fusion with cage and plate construct. Although this.

Longitudinal view of the proximal plantar fascia as it originates from the calcaneus (CALC). Source: Musculoskeletal Ultrasound, CURRENT Diagnosis & Treatment:

Diagrams illustrating cross-sectional views of the normal and injured spinal cord. The diagram of the normal spinal column shows the segmental arrangement.

Right recurrent laryngeal nerve paralysis (dotted line = midline)

Sciatic nerve stimulation: motor response of the common peroneal or tibial nerves indicate proper localization of the sciatic nerve. Source: Chapter 37.

Internal hemorrhoids. (Used, with permission, from John Cello, MD.)

(A) Sciatic nerve anatomy (popliteal), ultrasound image

(A) Sciatic nerve anatomy (popliteal), ultrasound image

Schematic depiction of how cochlear implant systems operate. 1

Imaging studies in a patient with cervical spondylosis and chronic neck pain. (A) Radiograph showing collapsed disk space between C5 and C6 and a large.

Thumb spica splint for ulnar collateral ligament injury and De Quervain’s tenosynovitis. Source: Orthotics, CURRENT Diagnosis & Treatment: Physical Medicine.

Hip disarticulation prosthesis with bucket-style socket and anterior mount hip joint. Source: Lower Limb Amputation, Rehabilitation, & Prosthetic Restoration,

Forces on the base of the spine (L5–S1 forces) that result from two different methods of lifting a load weighing 150 N. When the lifting is done with the.

B: Preparticipation examination

Carotid angioplasty and stenting

Epigastric hernia. Note closeness to midline and the presence in upper abdomen. The herniation is through the linea alba. Source: Hernias & Other Lesions.

Small bowel obstruction

Cervical sympathetic injection

A lateral view radiograph in this 75-year-old female reveals significant loss of bone density as the upper lumbar and lower thoracic vertebral bodies are.

A lateral view radiograph in this 75-year-old woman reveals significant loss of bone density as the upper lumbar and lower thoracic vertebral bodies are.

Radiograph of a pathologic fracture secondary to Gaucher disease involving the distal femur in a 29-year-old man. Source: Chapter 5. Musculoskeletal Oncology,

Combat application tourniquet (CAT), by Composite Resources

Number of uninsured persons in the United States, 1980 to 2014 (U. S

Algorithm for determining intubation sequence for a child with a known difficult airway. Source: Airway Management of a 6-Year-Old with Pierre Robin Syndrome.

Sensory distribution in the hand

Epidural lysis of adhesions

The “windshield wiper test” (passive internal and external hip rotation in 90 degrees of flexion). Pain and stiffness suggest hip joint arthritis. Source:

Sagittal magnetic resonance T1-weighted image with contrast of the lumbar spine demonstrating diskitis/osteomyelitis associated with a spinal epidural.

Presentation transcript:

Lead implantation for peripheral nerve stimulation (PNS) Lead implantation for peripheral nerve stimulation (PNS). A: PNS leads implanted along the supraorbital and occipital nerves for treatment of migraine headaches. B: PNS leads implanted along the bilateral occipital nerves and upper cervical spine for treatment of occipital headaches and upper neck pain. C: PNS leads implanted along the lumbosacral spine for the treatment of low back pain that failed to respond to multiple lumbar fusions. Source: Interventional Pain Management, CURRENT Diagnosis & Treatment: Physical Medicine & Rehabilitation Citation: Maitin IB, Cruz E. CURRENT Diagnosis & Treatment: Physical Medicine & Rehabilitation; 2015 Available at: https://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/Books/1180/mai_ch21_f022b.png&sec=70379869&BookID=1180&ChapterSecID=70379624&imagename= Accessed: January 02, 2018 Copyright © 2018 McGraw-Hill Education. All rights reserved